Nitan Bahnson

General Practice Dentistry · Gillette, WY

Individual Active NPI

NPI number 1477947984

Practice location

1211 S Douglas Hwy
Gillette, WY 82716-4949
Phone
(307) 682-6771

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NPI record

NPI
1477947984
Entity type
Individual (Type 1)
Enumeration date
March 23, 2015
Last updated
September 5, 2024
Certified
September 5, 2024
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 1440 WY
Student in an Organized Health Care Education/Training Program 390200000X — CO

Mailing address

13001 E 17TH Pl
Aurora, CO 80045-2570

About Nitan Bahnson

Nitan Bahnson is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1211 S Douglas Hwy, Gillette, WY 82716-4949. The NPI number 1477947984 was assigned on March 23, 2015 and the record was last updated on September 5, 2024.

Nitan Bahnson lists a license in the registry: #1440 (WY) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Nitan Bahnson?

The NPI number is 1477947984.

What is the phone number of Nitan Bahnson?

The phone number listed for the practice location is (307) 682-6771.

Where is Nitan Bahnson located?

1211 S Douglas Hwy, Gillette, WY 82716-4949.

What is the taxonomy code for Nitan Bahnson?

The primary taxonomy code is 1223G0001X – General Practice Dentistry; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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